Staff Fullstack Software Engineer (Provider)

Headway•New York, NY

About The Position

Headway's mission is to build a new mental healthcare system that is accessible to everyone, addressing the issue that most providers do not accept insurance, making therapy unaffordable for many. The company has automated the administrative tasks associated with insurance, such as credentialing, claims, and payment reconciliation. Over 75,000 providers in all 50 states use Headway's software, serving over 1 million patients. Headway is developing tools for therapists to manage their entire practice, improving the process of finding a therapist, and investing in platform foundations for scalability. The company is not just a billing layer but is becoming the platform where care is delivered. As a Series D company with over $325 million in funding from investors like a16z, Accel, and Spark Capital, Headway is seeking exceptional individuals to help achieve its mission and provide the most meaningful career experience. The role of a Fullstack Engineer at Headway involves end-to-end ownership, building reliable abstraction layers over the fragmented healthcare system, and translating them into seamless, empathetic user experiences.

Requirements

End-to-End Product Builder: Cares about API architecture and user experience, seamlessly switching between backend logic and frontend state management.
Owns Outcomes, Not Tasks: Has turned ambiguous problems into shipped software, defining solutions, involving the right people, and maintaining momentum when priorities shift.
Sets the Technical Standard: Makes technical decisions optimizing for maintainability and scale, proactively improving engineering velocity through tooling, automation, or pattern establishment.
Mentor by Default: Includes engineers in design discussions, provides educational code reviews, and ensures knowledge sharing.
Ships Fast, Iterates Faster: Moves quickly from problem statement to working solution, prioritizing shipping a good v1 quickly over a perfect v1 later, valuing real feedback.
Quick Study in Complex Domains: Dives into unfamiliar domains like healthcare (payers, regulations, exceptions) and builds a working mental model rapidly.
Motivated by Impact: Wants to apply engineering skills to meaningful problems like improving mental healthcare access.
Communicates with Precision: Communicates clearly and concisely in various formats (Slack, design docs, meetings), bringing people along effectively.
AI Frontier Tinkerer: Pushes the limits of AI tools, experimenting with LLMs for workflows like code generation, automation, and developer tooling, with a responsible builder's mindset for healthcare.

Nice To Haves

Prior healthcare experience is not required, but the ability to quickly learn complex domains is essential.

Responsibilities

Build a best-in-class platform for Headway therapists to run their businesses, owning features from database schema to UI for scheduling, AI-assisted clinical documentation, and payment management.
Deepen the relationship between patients and their care by building interfaces and APIs for seamless communication, personalized experiences, and tools that keep patients connected to their providers.
Design and build systems for managing clinical data, creating high-integrity experiences for treatment plans and progress notes, and integrating AI-powered clinical intelligence to save providers time.
Transform the insurance credentialing process into a sleek, consumer-grade experience by building products and tooling to get providers in-network and scale their practices.
Own the tools and experiences that expand Headway's reach, from acquiring new providers to empowering existing ones to bring patients onto the platform, and build the infrastructure for sustainable growth.
Help teams anticipate future needs and lay technical foundations by building systems, tools, and processes that enable rapid, safe, and reliable product innovation.
Shape the roadmap and technical strategy for the space by working with a cross-functional leadership team.